Mandibular reconstruction using electrically stimulated periosteum.
Electrically stimulated periosteum (ESP) grafting to a 12-year-old female patient who had had a segmental mandibulectomy in the anterior region following a diagnosis of Ewing's sarcoma was tried for the mandibular reconstruction. One year after the ESP transplantation, examination of the patient showed that fine, radio-opaque bone formation had occurred. The new technique consists of 1) electrical stimulation of the tibial periosteum with 20 microamperes for five weeks, and then 2) ESP transplantation into a titanium mesh tray placed in the mandibulectomized region. In the present report, these new procedures are detailed, and the process of calcification in the transplanted ESP is discussed.
Kamegai
A
A
Dept. of Oral and Maxillofacial Surgery, Asahi University School of Dentistry.
Mori
M
M
Inoue
S
S
D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D004558:Electric Stimulation / Q000379:methods*; D005260:Female; D006801:Humans; D008339:Mandibular Neoplasms / Q000601:surgery*; D010012:Osteogenesis; D010521:Periosteum / Q000637:transplantation*; D012512:Sarcoma, Ewing / Q000601:surgery*; D014025:Titanium
D014025:Titanium